1. Writing Policies and Procedures and Training Staff
Stacey Rosenberger, MPH Emergency Planner Santa Barbara County Public Health Department

2. Hospital Policy

3. Skilled Nursing Facility Policy

4. Addresses Active Shooter Outside the Building vs. Inside the Building

5. Active Shooter Policies
General response actions for staff
Specific response roles for security, administration, others
Communication
Lockdown procedures
What to do when law arrives
How to account for staff
How do you give the All Clear

6. General staff response procedures:
-Run, Hide, Fight
-Get Out, Hide Out, Keep Out
-ALICE (Alert, Lockdown, Inform, Counter, Evacuate)

7. Specific Response for security, administration, others

8. Communication
Do you use an overhead paging system to communicate with staff?
How do you communicate with staff in the field or off shift?
How do you communicate with patients/visitors?
When do you call 911 and who calls 911?

9. Lockdown

10. Additional Considerations for your Policy
Frequency of training/exercises should be defined in policy
Patient care during and following an active shooter event
Recovery

11. Writing Your Policy/Procedure
Don’t reinvent the wheel
Every template/sample is not perfect
Pick an choose from sample/templates to fit your organization
Your training needs to be based on your polices

12. Sample Trainings Develop training from policy How often do you train?
Many different types of trainings
Provide a range of options and choices- online, in person, small groups in work area
Accept
Assess
Act
Alert

13. 4 Steps in Your Training Plan
Training & Tabletop of Procedures
Physical Walk Through
Drills
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